Vascular trauma and compartment syndromes

Vascular injuries produce ischemia, and their repair produces reperfusion. Ischemia and reperfusion produce compartment syndrome. Although a local event, a compartment syndrome risks not only the affected extremity, but also the life of the patient. A high index of suspicion coupled with adequate kn...

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Bibliographic Details
Published inThe Surgical clinics of North America Vol. 82; no. 1; p. 125
Main Authors Velmahos, George C, Toutouzas, Konstantinos G
Format Journal Article
LanguageEnglish
Published United States 01.02.2002
Subjects
Arm Injuries - diagnosis
Arm Injuries - surgery
Arteries - injuries
Arteries - surgery
Compartment Syndromes - diagnosis
Compartment Syndromes - surgery
Fasciotomy
Humans
Ischemia - diagnosis
Ischemia - surgery
Leg Injuries - diagnosis
Leg Injuries - surgery
Prognosis
Veins - injuries
Veins - surgery
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Summary:Vascular injuries produce ischemia, and their repair produces reperfusion. Ischemia and reperfusion produce compartment syndrome. Although a local event, a compartment syndrome risks not only the affected extremity, but also the life of the patient. A high index of suspicion coupled with adequate knowledge of subtle clinical symptoms (and confirmed by intracompartmental pressure measurement) improve management of compartment syndrome, and this article discusses common pitfalls in its diagnosis and treatment.
ISSN:0039-6109
DOI:10.1016/S0039-6109(03)00145-2